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OUT-OF-POCKET EXPENDITURE BY HOUSEHOLDS ON HEALTH

Statistics Directorate    
Definition:
Household out-of-pocket expenditure on health comprise cost-sharing, self-medication and other expenditure paid directly by private households, irrespective of whether the contact with the health care system was established on referral or on the patient’s own initiative.

Context:
The former relates to provisions of health insurance or third-party payers for beneficiaries to cover part of the medical cost via a fixed amount per service (co-payment) or a set share of the price tagged to services (co-insurance, also labeled in some countries 'ticket modérateur') or a fixed amount to be born before the third-party gets involved (deductible). Self-medication includes informal payments extracted by medical care providers above the conventional fees, to over-the-counter prescriptions and to medical services not included in a third-party payer formulary or nomenclature of re-imbursable services.

Note: This item corresponds to HF.2.3 in the ICHA-HF classification of health care financing (see SHA, chapters 6 and 11).

Source Publication:
OECD Health Data 2001: A Comparative Analysis of 30 Countries, OECD, Paris, 2001, data sources, definitions and methods.

Statistical Theme: Health statistics

Created on Tuesday, September 25, 2001

Last updated on Monday, March 10, 2003